Journal article
A randomized trial of the impact of risk assessment and feedback on participation in mammography screening
Preventive medicine, Vol.22(3), pp.350-360
05/01/1993
DOI: 10.1006/pmed.1993.1029
PMID: 8327418
Abstract
BACKGROUNDAlthough rates of mammography screening among women in the general population have been increasing they still fall short of national goals. This study evaluated the effects on rates of participation in mammography screening of obtaining risk factor information and providing general or personalized risk information through direct mailed correspondence.METHODSWomen enrollees in a health maintenance organization (N = 2,076), age 50 and above, were randomized to one of the following four groups: (a) no risk factor questionnaire + generic invitation, (b) no risk factor questionnaire + general risk invitation, (c) risk factor questionnaire + general risk invitation, and (d) risk factor questionnaire + personal risk invitation. Computerized visit records were monitored for 12 months following a mailed invitation to assess whether a mammogram had been obtained.RESULTSOverall participation was 37.5% and the rate of participation did not differ significantly across groups (P = 0.26). Participation was related to age (P < 0.02), with rates highest for women ages 60-69 years (42.7%) compared with those for women ages 50-59 (35.5%) and those age 70+ (33.7%). Among women with a family history of breast cancer, the personalized risk invitation was associated with significantly higher participation compared with general risk invitation (66.7 versus 42.9%, respectively; P < 0.003).CONCLUSIONSWomen with a family history of breast cancer are more likely to obtain a mammogram if that fact is reinforced as a risk factor. Research on environmental barriers to mammography screening may suggest alternative strategies for increasing participation.
Details
- Title: Subtitle
- A randomized trial of the impact of risk assessment and feedback on participation in mammography screening
- Creators
- S J Curry - Group Health CooperativeS H Taplin - University of Puget SoundC Anderman - University of Puget SoundW E Barlow - University of Puget SoundC McBride - University of Puget Sound
- Resource Type
- Journal article
- Publication Details
- Preventive medicine, Vol.22(3), pp.350-360
- DOI
- 10.1006/pmed.1993.1029
- PMID
- 8327418
- ISSN
- 0091-7435
- eISSN
- 1096-0260
- Language
- English
- Date published
- 05/01/1993
- Academic Unit
- Health Management and Policy; Community and Behavioral Health
- Record Identifier
- 9984366374002771
Metrics
17 Record Views